healthcosts.net
Hrdtry cardmypy gene panel at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$9,556.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$15,928.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$530.45 with UPMC Health Plan vs $13,291.45 with Humana — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $530.45 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $578.07 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $584.90 | ↓ -94% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $584.90 | ↓ -94% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $598.82 | ↓ -94% |
| Aetna | Medicare | $602.45 | ↓ -94% |
| Aetna of PA | Medicare | $614.14 | ↓ -94% |
| United Healthcare | Unison Advantage Non Special Needs | $614.14 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $631.63 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $631.69 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $631.69 | ↓ -93% |
| United Healthcare | Unison Advantage Special Needs | $643.39 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,350.42 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,663.82 | ↓ -83% |
| UPMC Health Plan | Commercial | $2,001.66 | ↓ -79% |
| InterGroup | PPO | $3,704.00 | ↓ -61% |
| Aetna | EBR ASO | $6,254.80 | ↓ -35% |
| Cigna | Commercial | $6,254.80 | ↓ -35% |
| PA Health & Wellness | PA Medicaid HMO | $8,600.35 | ↓ -10% |
| Aetna | EBR FI | $9,069.46 | ↓ -5% |
| Aetna | Neighborhood Network | $9,382.20 | ↓ -2% |
| Aetna | Home Depot Employer Group | $9,648.03 | ↑ +1% |
| Aetna | NBR ASO/FI | $9,851.31 | ↑ +3% |
| Cigna | New Business ASO | $9,851.31 | ↑ +3% |
| Coventry/First Health | Commercial | $10,945.90 | ↑ +15% |
| Health Coalition Partners | PPO | $11,258.64 | ↑ +18% |
| Private Health Care Systems | PPO | $12,509.60 | ↑ +31% |
| Humana | Commercial | $13,291.45 | ↑ +39% |
Visitor-reported prices
Comments
Hrdtry cardmypy gene panel at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $9,382.20 | $525.27 – $13,291.45 |
| UPMC Muncy | Muncy | $7,324.20 | $456.69 – $9,765.60 |
| UPMC Presbyterian | Pittsburgh | $9,382.20 | $428.15 – $4,386.00 |
| UPMC Wellsboro | Wellsboro | $9,300.80 | $456.69 – $10,463.40 |
| UPMC Williamsport | Williamsport | $9,382.20 | $456.69 – $12,509.60 |